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By FAX TO:    +27 21 881 3335
By E-Mail To: info@de-toren.com 
By Phone:      +27 21 881 3119 		De Toren Private Cellar
P O Box 48
Vlottenburg 7604
South Africa
Name:  
Address:  

 
Delivery Address:  

 
Tel No: Day:  
After Hours:  
Mobile Phone No:  

De Toren Fusion V 1999
De Toren Fusion V 2000 (To be released September 2001)
De Toren Fusion V 2001 (To be released September 2002)

Order: Cases of 12 @ US$ 144.00 per case

Sub total for wine US$__________________

Delivery: Cases @  _____ US$ per case

Sub total for delivery US$__________________

Total Value of Order US$__________________

  • DELIVERY CHARGES:

    • Cape Town Free

    • Rest of South Africa US$ per case

    • Europe US$ per case

    • United States of America US$ per case

    • Rest op the World Price on application

    ALLOW 3 WEEKS FOR DELIVERY
Payment:  Cheque enclosed
Credit Card No:
Expiry Date: 

MASTER     VISA     DINERS CLUB
AMERICAN EXPRESS     EURO

DIRECT BANK DEPOSIT:  BOLAND PKS
BRANCH:                            STELLENBOSCH
ACCOUNT NO:                   440110 2497816701 21